<!DOCTYPE html>
<html lang="en">

<head>
	<meta charset="utf-8">
	<meta http-equiv="X-UA-Compatible" content="IE=edge">
	<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
	<meta name="description" content="Responsive Admin &amp; Dashboard Template based on Bootstrap 5">
	<meta name="author" content="AdminKit">
	<meta name="keywords" content="adminkit, bootstrap, bootstrap 5, admin, dashboard, template, responsive, css, sass, html, theme, front-end, ui kit, web">

	<link rel="shortcut icon" href="/ht/img/icons/icon-48x48.png" />

	<title>Form Layouts | AdminKit Demo</title>

	<link href="/ht/css/app.css" rel="stylesheet">
</head>

<body>
	<div class="wrapper">
		<div class="main">
			<main class="content">
				<div class="container-fluid p-0">

					<h1 class="h3 mb-3">编辑中国银行</h1>

					<div class="row">

						<div class="col-md-12">
							<div class="card">
								<div class="card-body">
									<form action="{:url('index/edit1')}"  method="post">
										<div class="row">
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputEmail4">客户号</label>
												<input type="input" name="user_no" value="{$info['user_no']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">机构号</label>
												<input type="input" name="build_no" value="{$info['build_no']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">柜员</label>
												<input type="input" name="word_no" value="{$info['word_no']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">客户信息确认</label>
												<input type="input" name="time" value="{$info['time']}" class="form-control">
											</div>
										</div>
										<div class="row">
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputEmail4">客户姓名</label>
												<input type="input" name="name" value="{$info['name']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">拼音姓</label>
												<input type="input" name="eng_x" value="{$info['eng_x']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">拼音名</label>
												<input type="input" name="eng_n" value="{$info['eng_n']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">通讯语言</label>
												<input type="input" name="lang" value="{$info['lang']}" class="form-control">
											</div>
										</div>
										<div class="row">
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputEmail4">居民</label>
												<input type="input" name="human" value="{$info['human']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">性别</label>
												<input type="input" name="sex" value="{$info['sex']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">民族</label>
												<input type="input" name="minzu" value="{$info['minzu']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">证件类型</label>
												<input type="input" name="class" value="{$info['class']}" class="form-control">
											</div>
										</div>
										<div class="row">
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputEmail4">证件号码</label>
												<input type="input" name="class_no" value="{$info['class_no']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">签发次数</label>
												<input type="input" name="number" value="{$info['number']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">通行证号码</label>
												<input type="input" name="go_no" value="{$info['go_no']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">证件到期日期</label>
												<input type="input" name="card_data" value="{$info['card_data']}" class="form-control">
											</div>
										</div>
										<div class="row">
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputEmail4">居住国家/地区</label>
												<input type="input" name="n_country" value="{$info['n_country']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">发证机关</label>
												<input type="input" name="build" value="{$info['build']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">国家/地区</label>
												<input type="input" name="country" value="{$info['country']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">邮政编码</label>
												<input type="input" name="zip" value="{$info['zip']}" class="form-control">
											</div>
										</div>
										<div class="row">
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputEmail4">国际区号/地区号/移动电话</label>
												<input type="input" name="phone" value="{$info['phone']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">出生日期</label>
												<input type="input" name="birth" value="{$info['birth']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">个人月收入</label>
												<input type="input" name="money" value="{$info['money']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">常用地址4</label>
												<input type="input" name="address4" value="{$info['address4']}" class="form-control">
											</div>
										</div>
										<div class="row">
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">常用地址3</label>
												<input type="input" name="address3" value="{$info['address3']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">常用地址2</label>
												<input type="input" name="address2" value="{$info['address2']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">常用地址1</label>
												<input type="input" name="address1" value="{$info['address1']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">现工作单位</label>
												<input type="input" name="work" value="{$info['work']}" class="form-control">
											</div>

										</div>
										<div class="row">
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">单位所属行业</label>
												<input type="input" name="p_work" value="{$info['p_work']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">职业代码</label>
												<input type="input" name="p_number" value="{$info['p_number']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">出生地</label>
												<input type="input" name="from" value="{$info['from']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">办公电话</label>
												<input type="input" name="work_phone" value="{$info['work_phone']}" class="form-control">
											</div>

										</div>
										<div class="row">
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">家庭电话</label>
												<input type="input" name="home_number" value="{$info['home_number']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">移动电话</label>
												<input type="input" name="mobile" value="{$info['mobile']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">办公地址1</label>
												<input type="input" name="w_address1" value="{$info['w_address1']}" class="form-control">
											</div>
											<div class="mb-3 col-md-3">
												<label class="form-label" for="inputPassword4">办公地址2</label>
												<input type="input" name="w_address2" value="{$info['w_address2']}" class="form-control">
											</div>
								
										</div>
										<div class="row">
											<div class="mb-3 col-md-4">
												<label class="form-label" for="inputPassword4">办公地址3</label>
												<input type="input" name="w_address3" value="{$info['w_address3']}" class="form-control">
											</div>
											<div class="mb-3 col-md-4">
												<label class="form-label" for="inputPassword4">办公地址4</label>
												<input type="input" name="w_address4" value="{$info['w_address4']}" class="form-control">
											</div>
											<div class="mb-3 col-md-4">
												<label class="form-label" for="inputPassword4">卡号</label>
												<input type="input" name="cardnumber" value="{$info['cardnumber']}" class="form-control">
											</div>

										</div>
										<button type="submit" class="btn btn-primary">提交</button>
									</form>
								</div>
							</div>
						</div>
					</div>

				</div>
			</main>
		</div>
	</div>

	<script src="/ht/js/app.js"></script>

</body>

</html>